Individual
DEMETRIA C. CALETENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 ELLEN CIR, ANCHORAGE, AK 99515-3388
(907) 868-1795
(907) 868-1795
Mailing address
2812 W 29TH AVE, ANCHORAGE, AK 99517-1701
(907) 868-1795
(907) 868-1795
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
100527
AK
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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